<form id="edit-form" class="form-horizontal col-sm-12" role="form" data-toggle="validator" method="POST" action="">
	{:token()}

	<div class="form-group">
		<div class="col-xs-12 col-sm-10">
			<div class="form-group col-sm-10">
				<label for="c-payment_date">到账日期:</label>
				<input name="row[payment_date]" type="text" class="form-control datetimepicker" value=""   data-date-format="YYYY-MM-DD">

			</div>
		</div>
		<div class="col-xs-12 col-sm-10">
			<div class="form-group col-sm-10">
				<label for="c-image">到账凭证:</label>
				<div class="input-group">
					<input id="c-image" class="form-control" size="35" name="row[file_ids]" type="text"  value="">
					<div class="input-group-addon no-border no-padding">
							<span><button type="button" id="faupload-image" class="btn btn-danger faupload"
										  data-input-id="c-image"
										  data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp"
										  data-multiple="false" data-preview-id="p-image"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>

					</div>
					<span class="msg-box n-right"></span>
				</div>
				<ul class="row list-inline faupload-preview" id="p-image"></ul>
			</div>
		</div>

		<div class="col-xs-12 col-sm-10">
			<div class="form-group col-sm-10">
				<label for="c-description">备注:</label>
				<textarea class="form-control" rows="3" name="row[remarks]"
						  placeholder="产品描述"></textarea>
			</div>
		</div>

	</div>


	<div class="form-group layer-footer">
		<label class="control-label col-xs-12 col-sm-2"></label>
		<div class="col-xs-12 col-sm-8">
			<button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
			<button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
		</div>
	</div>
</form>
